36C24819Q0468-0003001.xlsx
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36C24819Q0468 0003 Appendix A MFT_GFT Site Requirements.xlsx
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| File | Type | Posted |
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| 36C24819Q0468-0003000.docx | DOCX document | |
| 36C24819Q0468-0001000.docx | DOCX document | |
| 36C24819Q0468-0001001.xlsx | XLSX spreadsheet | |
| 36C24819Q0468-002.docx | DOCX document | |
| 36C24819Q0468-001.docx | DOCX document |
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Sheet1
| Parent Facility | Address of Compounding Facility | Location of Pharmacy Services Office within facility | DESIRED START DATE FOR SERVICES | # of personnel that will be included in GFT/MFT testing | Low/ Medium vs. High Risk | Include PEC certification? (Y/N) | Include room viables and non-viables? (Y/N) | # of Primary Engineering Controls | # of rooms | Include handwash/garbing check? (Y/N) | Include surface sampling to detect HD? (Y/N) | POC for Contracting Purposes (COR, etc.) | ||
| Initial | Annual | |||||||||||||
| Orlando (Lake Nona) | 13800 Veterans Way Orlando, FL 32827 | 2nd floor hospital side | 6/1/19 | 10 | 30 | low/medium | Y | Y | 10 | 5 | Y | Y | Heather Taxeras | |
| Orlando (Viera) | 2900 Veterans Way Viera, FL 32940 | 1st floor | 6/1/19 | 0 | 5 | low/medium | Y | Y | 2 | 3 | Y | Y | Dave Jocksberger | |
| Orlando (Lake Baldwin) | 5201 Raymond Street Orlando, FL 32803 | Bldg 500 Room105 | 6/1/19 | 8 | 8 | low/medium | Y | Y | 2 | 3 | y | Y | Peter Wills | |
| Bay Pines VAHCS | Lee County Healthcare Center Pharmacy Service Room 1b165 2489 Diplomat Parkway East Cape Coral, FL 33909 | Lee County Healthcare Center Pharmacy Service Room 1b212 2489 Diplomat Parkway East Cape Coral, FL 33909 | 6/1/2019 - pending construction completion | 2 | 14 | low/ Medium | y | y | 2 | 3 | y | y | Kokkheang Lim | |
| Bay Pines VAHCS | C.W. Bill Young VAMC Inpatient Pharmacy Building 100 room 1c-128 10000 Bay Pines Blvd Bay Pines, FL 33744 | C.W. Bill Young VAMC Pharmacy Service Building 100 room 1c-120 10000 Bay Pines Blvd Bay Pines, FL 33744 | 6/1/19 | 4 | 32 | low/ Medium | y | y | 4 | 4 | y | y | Kokkheang Lim | |
| Bay Pines VAHCS | C.W. Bill Young VAMC Cancer Therapy/Infusion Center 10000 Bay Pines Blvd Bay Pines, FL 33744 | C.W. Bill Young VAMC Pharmacy Service Building 100 room 1c-120 10000 Bay Pines Blvd Bay Pines, FL 33744 | 6/1/19 | n/a | n/a | low/ Medium | y | y | 2 | 4 | y | y | Kokkheang Lim | |
| Bay Pines VAHCS | C.W. Bill Young VAMC Mobile Trailer 10000 Bay Pines Blvd Bay Pines, FL 33744 | C.W. Bill Young VAMC Pharmacy Service Building 100 room 1c-120 10000 Bay Pines Blvd Bay Pines, FL 33744 | 6/1/19 | n/a | n/a | y | y | 3 | 4 | y | y | Kokkheang Lim | ||
| Bay Pines VAHCS | C.W. Bill Young VAMC Chemo Satellite 10000 Bay Pines Blvd Bay Pines, FL 33744 | C.W. Bill Young VAMC Pharmacy Service Building 100 room 1c-120 10000 Bay Pines Blvd Bay Pines, FL 33744 | 10/1/19 | n/a | n/a | y | y | 3 | 4 | y | y | Kokkheang Lim | ||
| West Palm Beach | 7305 North Military Trail | |||||||||||||
| West Palm Beach, FL 33410 | Inpatient Pharmacy Admin BB-121 | Tentative | 0 | 32 | NA | N | Y | 7 | 5 | Y | Y | Shannon Malchoff | ||
| James A. Haley VA Hospital | 13000 Bruce B. Down Blvd Tampa Fl 33612 | Building 1, Room 1A-108D | 6/1/19 | 4 | 24 | Low/Med | Y | Y | 6 | 2 | N | Y | Shemica Jones | |
| VA Caribbean Healthcare System | 10 Casia St (119) |
San Juan, Puerto Rico 00921-3201
| Inpatient Pharmacy Office #208 | 6/1/19 | 5 | 45 | Medium Risk | Yes | Yes | 5 | 6 | Yes | Yes | Dayna Quinones-Burgos Inpatient Pharmacy Supervisor Phone: 787-641-7582 ext. 12290 | ||
| Miami VA HealthCare System | 1201 NW 16 ST MIAMI, FL 33125 | 2nd Floor. Room 2A136D10 | 7/1/19 | 5 | 30 | Low/Medium Risk | Y | Y | 5 | 4 | Y | Y | Kimberly Bellas |
| North Florida/South Georgia VAMC | 619 S Marion Ave. Lake City, FL 32025 | CB6 | 6/1/19 | 5 | 40 | LOW/MED | YES | YES | 4 | 3 | NO | Y | Courtney Guidry |
| North Florida/South Georgia VAMC | 1601 SW Archer Rd. Gainesville, FL 32608 | A150 | 6/1/19 | 10 | 50 | LOW/MED | YES | YES | 7 | 5 | NO | YES | John Leonard |
| VISN 8 | Mobile Trailer | TBD | 6/1/19 | NA | NA | Yes | Yes | 4 | 4 | NO | Yes | Kourtney LaPlant | |
| 53 | 310 | 66 | 59 |
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